Provider Demographics
NPI:1487774360
Name:WARE, RUTH W (LPC, BC-TMH)
Entity type:Individual
Prefix:MS
First Name:RUTH
Middle Name:W
Last Name:WARE
Suffix:
Gender:F
Credentials:LPC, BC-TMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 PRIDE LANDING RD
Mailing Address - Street 2:
Mailing Address - City:TUSCUMBIA
Mailing Address - State:AL
Mailing Address - Zip Code:35674-7243
Mailing Address - Country:US
Mailing Address - Phone:210-412-2093
Mailing Address - Fax:
Practice Address - Street 1:150 PRIDE LANDING RD
Practice Address - Street 2:
Practice Address - City:TUSCUMBIA
Practice Address - State:AL
Practice Address - Zip Code:35674-7243
Practice Address - Country:US
Practice Address - Phone:210-412-2093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK272101YA0400X
TX10726101YA0400X
AL3175101YM0800X
OK2537101YP2500X
KS318101YP2500X
TX63936101YP2500X
VA0701010676101YP2500X
OK10044101YP2500X
MS2392101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional